Physician Compare National (NPI:1184669871)

HEALTHCARE PROVIDER: ROXANA P MINKUS D.O

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1184669871
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123081361
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041108001297
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MINKUS
	Individual professional last name
Provider First Name	ROXANA
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OSTEOPATHIC MANIPULATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OSTEOPATHIC MANIPULATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2650 S BRISTOL ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	SANTA ANA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	927045751
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y